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Fluticasone and Salmeterol
What is it? Overview Usage Side Effects and Warnings

Fluticasone and Salmeterol Overview

Written by FoundHealth.

(floo TIK a sone & sal ME te role)

U.S. Brand Names

Advair Diskus®; Advair® HFA

Canadian Brand Names

Advair Diskus®; Advair®

Mexican Brand Names


Pharmacologic Category

Beta2-Adrenergic Agonist; Beta2-Adrenergic Agonist, Long-Acting; Corticosteroid, Inhalant (Oral)

What key warnings should I know about before taking this medicine?

• When switching from an oral steroid to an inhaled one, there can be problems. Symptoms such as weakness, feeling tired, dizziness, nausea, vomiting, inability to think clearly, or low blood sugar may occur. Call healthcare provider right away if you have any of these symptoms. If you have a serious accident and are injured, have surgery, or any type of infection, you may need extra doses of oral steroids. These extra steroids will help your body deal with these stresses. Carry a warning card saying that you may need extra steroids at certain times.

• In patients with asthma, long-acting inhalers may increase asthma-related deaths. Talk with healthcare provider.

• This medicine does not mix well with many medicines. Serious reactions may occur. Check all medicines with healthcare provider.

• Please read the medication guide.

Reasons not to take this medicine

• If you have an allergy to fluticasone, salmeterol, or any other part of this medicine.

• Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved.

• If you are having a breathing attack.

• If you are allergic to milk, talk with healthcare provider.

How does it work?

• Fluticasone prevents or reduces irritation and swelling.

• Salmeterol works at sites in the airways to relax the muscles and improve oxygen delivery.

How is it best taken?

• For inhaling (puffing) only.

• Shake Advair® HFA well before use.

• Prepare inhaler before first use or whenever inhaler has not been used for more than 4 weeks. Spray 4 test sprays into the air.

• If you are using more than one type of inhaler, ask healthcare provider which inhaler to use first.

• Rinse out mouth after each use.

• Check inhaler use with healthcare provider at each visit. Read and follow all instructions provided with inhaler. Using the inhaler the right way is very important.

What do I do if I miss a dose? (does not apply to patients in the hospital)

• Use a missed dose as soon as possible.

• If it is almost time for the next dose, skip the missed dose and return to your regular schedule.

• Do not use a double dose or extra doses.

• Do not change dose or stop medicine. Talk with healthcare provider.

What should I monitor?

• Change in condition being treated. Is it better, worse, or about the same?

• Use of a short-acting bronchodilator.

• Monitor asthma with peak flow meter.

• Follow up with healthcare provider.

How should I store this medicine?

• Store at room temperature.

• Advair® Diskus®: Throw away any unused portion after 1 month or when indicator reads zero, whichever comes first.

• Advair® HFA: Throw away when indicator reads zero.

• Protect from heat.

• Protect from light.

• Protect from moisture. Do not store in a bathroom or kitchen.

General statements

• If you have a life-threatening allergy, wear allergy identification at all times.

• Do not share your medicine with others and do not take anyone else's medicine.

• Keep all medicine out of the reach of children and pets.

• Most medicines can be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.

• Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant).

• Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or in Canada to Health Canada's Canada Vigilance Program at 1-866-234-2345.

• Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products, or vitamins.

Created: 2006-10-13 12:44:50.0

Modified: 2010-07-01 11:29:49.0

Lexi-PALS TM © (1977)-(2007) Lexi-Comp, Inc. All rights reserved.



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